Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.37 / $3,325.00 / $10,635.00	Facility		$679.37	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.87 / $467.20 / $1,318.85	Professional		$456.87	$467.20	$1,318.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.95 / $402.54 / $648.53	Professional		$294.95	$402.54	$648.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.19 / $400.19 / $582.73	Facility		$400.19	$400.19	$582.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $322.76 / $431.57 / $431.57	Professional		$322.76	$431.57	$431.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $510.04 / $796.18	Professional		$360.00	$510.04	$796.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $392.34 / $547.84 / $754.89	Professional		$392.34	$547.84	$754.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $412.31 / $576.60	Professional		$40.54	$412.31	$576.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.87 / $507.25 / $817.95	Professional		$362.87	$507.25	$817.95